Eating, Drinking May Be OK During Labor

Jan. 20, 2010 -- There is little medical justification for telling women in
labor not to eat or drink, a review of the research finds.

For many decades, the prevailing practice in childbirth has been to restrict
food and fluids during labor to little more than ice chips. This was largely
due to concerns about aspiration of stomach contents into the lungs of women
given general anesthesia during delivery.

But very few women receive general anesthesia during childbirth these days,
even when they deliver by cesarean section. And changes in anesthesia practices
over the years have reduced the vomiting risk.

As a result, doctors have begun to relax once-strict policies about eating
and drinking during labor.

"We are, as we speak, in the process of re-evaluating our practice, as I
believe other hospitals are," high-risk obstetrician Jeffrey Ecker, MD, of
Massachusetts General Hospital tells WebMD. "We are trying to find a balance
between what makes patients happy and comfortable and what makes the
anesthesiologist comfortable."

Eating and Drinking: 'Let Women Decide'

In the newly published review, conducted for the nonprofit Cochrane
Collaboration, researchers examined five studies in which a total of 3,130
women were followed through childbirth.

All of the women were considered to have a low risk for needing general
anesthesia when they entered labor.

Taken as a whole, the studies showed no evidence of any risk or benefit
associated with eating or drinking during labor.

One of the largest studies included in the analysis was published just last
March.

Researchers followed 2,426 women with a low risk of obstetric complications
through delivery and found that those who ate lightly during labor and those
who only had water had similar lengths of labor and rate of C-section
deliveries.

The women who ate were no more likely to vomit than women who did not.

"Since the evidence shows no benefit or harms, there is no justification for
[prohibiting eating and drinking] during labor, provided women have a low risk
for complications," study researcher Mandisa Singata, MD, of South Africa's
East London Hospital Complex, says in a news release. "Women should be able to
make their own decisions about whether they want to eat or drink during labor
or not."